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GA HB511
Bill
Status
Passed
4/15/2014
Primary Sponsor
Katie Dempsey
Click for details
AI Summary
- Georgia Department of Community Health shall conduct a two-year pilot program, beginning six months after the effective date, to cover medically necessary bariatric surgical procedures (gastric band, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass) under state health insurance plans for state employees, public school teachers, and public school employees
- Participation is limited to no more than 75 individuals per year who meet eligibility criteria including a BMI greater than 40 (or greater than 35 with co-morbidities such as diabetes or sleep apnea), at least 12 months of plan participation, non-tobacco use, and two years of prior coverage under a state plan
- All surgical procedures must be performed at an American Society for Metabolic and Bariatric Surgery-designated Center of Excellence within Georgia, and participants must enroll in a 12-month postsurgery case management program
- A Governor-appointed review panel—including a state plan representative, a health insurance carrier representative, and at least two certified bariatric physicians—shall review pilot outcomes every six months, and a final report is due by December 15 of the last pilot year to the chairs of the House and Senate Health and Human Services and Appropriations committees
- The Act becomes effective only if the General Assembly specifically appropriates funds for the program, and the Code section automatically repeals 42 months after its effective date
Legislative Description
State employees' health insurance plan; pilot program to provide coverage for bariatric surgical procedures for treatment and management of obesity; provide
Last Action
Effective Date
7/1/2014
Full Bill Text
No bill text available